Senior Healthcare Economics Analyst

EmblemHealth; New York (NY); Presencial; USD 68.000 - 119.000; Jornada completa

Descripción de la vacante

EmblemHealth is seeking a data-driven cost analytics professional to partner with team leaders to improve operational efficiencies and understand drivers of medical cost and utilization. Responsibilities include running queries in SQL/SAS, developing insightful commentary and sensitivity modeling, and delivering dashboards to senior leadership to support cost containment initiatives.

This role requires 4–6+ years in healthcare analytics and strong proficiency with MS Office and data

Formación

• BA/BS in Mathematics, Statistics, Economics, Healthcare or related discipline required; Master's preferred.
• 4-6+ years' experience working in a healthcare setting (provider health system or health insurance) required.
• Ability to query, summarize, and manipulate data using SQL or SAS.
• High level of proficiency with MS Office (Word, Excel, PowerPoint, Outlook) with emphasis on Excel.
• Experience working with healthcare data including claims, testing results and pharmacy data.
• Strong communication skills (verbal, written, presentation, interpersonal).
• Experience preparing/presenting dashboards and data using Tableau preferred.

Responsabilidades

• Ensure data integrity is maintained throughout the reporting lifecycle.
• Implement reporting and reconciliation workflows and document processes.
• Responsible for experience studies and medical trend studies.
• Perform research and collection of data, including data mining and reporting, for internal and external customers.
• Implement automation of manual reporting and analysis of business implications and trends.
• Lead efforts to continually improve data capabilities and quality of department analysis and reporting.
• Create, develop, and design analytics and reporting to measure or estimate financial impact of health plan business problems and potential or actual solutions.
• Lead and manage several corporate and health cost containment initiatives, supporting staffing to deliver results across all functions within Medical Economics.
• Develop research and analytic processes to review financial data to draw conclusions for senior leadership.
• Represent the department to internal and external partners with presentation of data and results.
• Present analytical findings to internal business partners, leading discussions and providing delivery of further analysis.
• Analyze business problems related to financial experience of the health plan, particularly related to how care is purchased, managed, or other factors influencing cost of care.
• Perform additional duties as assigned.

Educación

BA/BS in Mathematics, Statistics, Economics, Healthcare or related discipline

Master's degree

Herramientas

SQL

SAS

Tableau

Descripción del empleo

• Work with other team leaders to improve operational efficiencies and resource allocations for improved performance of the EmblemHealth plans.


• Responsible for running queries and providing required analysis to understand related drivers (such as medical cost and utilization), and to provide insightful commentary and sensitivity modeling analysis.


• Develop data-driven analysis for decision making on how EmblemHealth purchases, manages, and influences the cost of care for current and prospective members.


• Extract, analyze, and interpret data for more complex insights related to cost drivers and to manage the escalation of issues that impact costs, and impact of health cost containment initiatives.


• Provide consultative subject matter expertise to aligned business areas to demonstrate analytics rooted in data.

Summary

• Work with other team leaders to improve operational efficiencies and resource allocations for improved performance of the EmblemHealth plans.


• Responsible for running queries and providing required analysis to understand related drivers (such as medical cost and utilization), and to provide insightful commentary and sensitivity modeling analysis.


• Develop data-driven analysis for decision making on how EmblemHealth purchases, manages, and influences the cost of care for current and prospective members.


• Extract, analyze, and interpret data for more complex insights related to cost drivers and to manage the escalation of issues that impact costs, and impact of health cost containment initiatives.


• Provide consultative subject matter expertise to aligned business areas to demonstrate analytics rooted in data.

Responsibilities

• Ensure data integrity is maintained throughout the reporting lifecycle.


• Implement reporting and reconciliation workflows and document processes.


• Responsible for experience studies and medical trend studies.


• Perform research and collection of data, including data mining and reporting, which is provided to various customers inside and outside the department.


• Implement automation of manual reporting and analysis of business implications and trends.


• Lead efforts to continually improve data capabilities and quality of department analysis and reporting.


• Create, develop, and design analytics and reporting to measure or estimate financial impact of health plan business problems and potential or actual solutions, addressing escalated issues with subject matter expertise.


• Lead and manage several corporate and health cost containment initiatives, supporting staffing to deliver results across all functions within Medical Economics.


• Develop research and analytic processes to review financial data to draw conclusions for senior leadership.


• Represent the department to internal and external partners with presentation of data and results for use in administering specific programs and processes related to medical expense and utilization.


• Present analytical findings to internal business partners, leading discussions and providing delivery of further analysis.


• Analyze business problems related to financial experience of the health plan, particularly related to how care is purchased, managed, or other factors influencing cost of care.


• Perform additional duties as assigned.

Requirements

• BA/BS in Mathematics, Statistics, Economics, Healthcare or related discipline required; Master's preferred.


• 4-6+ years' experience working in a healthcare setting (within a provider health system or health insurance company) required


• Ability to query, summarize, and manipulate data using SQL or SAS required


• High level of proficiency with MS Office (Word, Excel, PowerPoint, Outlook, etc.), with an emphasis on Excel required


• Experience working in a healthcare setting (within a provider health system or health insurance company) preferred


• Experience working with healthcare data including but not limited to claims, testing results and pharmacy data required


• Strong communication skills (verbal, written, presentation, interpersonal) required


• Experience preparing/presenting dashboards and data using a data visualization tool such as Tableau preferred

Additional Information

• Requisition ID: 2603O


• Hiring Range: $68,040-$118,800